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South Carolina rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.29 / $85.29 / $85.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $85.29 / $103.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $1,062.39 / $1,062.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.29 / $144.99 / $532.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.18 / $362.18 / $362.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.73 / $1,438.66 / $1,539.37